Individual provider Active NPI

Lashawn Thomas Bridges, SLPD

  • Speech-Language Pathologist
  • Columbia, SC
National Provider Identifier
1891771796
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3693 Issued in SC
Practice address
10120 Two Notch Rd # 150
Columbia, SC 29223-4395
Phone
(803) 429-2327
NPI assigned
Dec 21, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3693 SC Primary

Addresses

Primary practice location

10120 Two Notch Rd # 150
Columbia, SC 29223-4395

Mailing address

10120 Two Notch Rd # 150
Columbia, SC 29223-4395
Phone (803) 462-0597

Other practice location 1

811 Mallet Hill Rd
Apt.1405
Columbia, SC 29223-4407
Phone (803) 462-0597

Other identifiers 1

IdentifierTypeStateIssuer
SA0668MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3693SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgeway Therapy LLC Speech-Language Pathologist Current Accepting new patients

Locations

10120 Two Notch Rd
#150
Columbia, SC 29223
Phone (803) 429-2327

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1891771796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10120 TWO NOTCH RD # 150",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292234395",
            "telephone_number": "803-462-0597",
            "fax_number": "803-462-0597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10120 TWO NOTCH RD # 150",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292234395",
            "telephone_number": "803-429-2327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "811 Mallet Hill Rd",
            "address_2": "Apt.1405",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292234407",
            "country_code": "US",
            "telephone_number": "803-462-0597",
            "fax_number": "803-462-0597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS BRIDGES",
        "first_name": "LASHAWN",
        "credential": "SLPD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-21",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "3693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SA0668",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.